Please select the date(s) you are available to volunteer: *

Time slots are limited to the number of volunteers we need. We will remove dates and times as capacity is met. Thank you!

Feb. 25 (Tues) - 9:00AM to 3:00PM - filling orders

Feb. 26 (Wed) - 9:00AM to 1:00PM - filling any remaining orders (this date/time may get cancelled if all orders are filled on Feb. 25)

Name *

For liability purposes, please fill out a separate registration form for EACH PERSON that will be attending. Please note, we are UNABLE to have volunteers UNDER the AGE of 18 at this event.

First Name

Last Name

Phone *

(###)

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Name of Emergency Contact *

First Name

Last Name

Phone for Emergency Contact *

(###)

###

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Release of Liability *

By checking the box below, I agree to indemnify and hold the landowners, Clallam Conservation District, its employees, its elected and appointed officials, any other third party involved with the event, and other event participants harmless from and against any liability, claim, injury, or costs arising from or resulting from my work as a volunteer and/or attendance at an education event. Furthermore, I acknowledge there are potential hazards associated with volunteer activities and/or participation at educational events and I agree to exercise common sense and follow all safety precautions to avoid accident and injury. I will contact the project leader(s) in case of an accident or if I observe safety hazards or violations.

I acknowledge I have read and agree to Clallam Conservation District’s Release of Liability as presented above.

Health Safety *

If indicating any of the following symptoms I will not attend the event: Fever, chills, cough, shortness of breath, fatigue, muscle pain, headache, loss of taste or smell, sore throat, stuffy or runny nose, nausea, vomiting, diarrhea.

I acknowledge I have read and agree to Clallam Conservation District’s Health Safety protocol as presented above.

Photo Release *

I give my permission to have my photo or my child’s photo taken during this event and used for publicity purposes for hosts or sponsors.

Yes

No